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1003553017
THORN EANG
CERES, CA
NPI
1003553017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 689051)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
THORN EANG LVN
829 ALLACANTE DR
CERES, CA 95307-7308
Phone number: 209-681-6030
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Mailing Address
THORN EANG LVN
829 ALLACANTE DR
CERES, CA 95307-7308
Phone number: 209-681-6030
Copy
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